Effects of a household air pollution intervention using liquefied petroleum gas stoves, continuous fuel distribution and behavioural messaging on dietary and sodium intake of adult women in Puno, Peru: a randomised controlled trial
Carla Tarazona-Meza, Kendra N. Williams, Gary Malpartida, Josiah L. Kephart, Magdalena Fandino-Del-Rio, Suzanne Simkovich, Shakir Hossen, Marilu Chiang, Kirsten Koehler and William Checkley
Published, Version of Record (VoR)CC BY V4.0, Open
Abstract
Life Sciences & Biomedicine Nutrition & Dietetics Public, Environmental & Occupational Health Science & Technology
Objective: Household air pollution (HAP) is a widespread environmental exposure worldwide. While several cleaner fuel interventions have been implemented to reduce personal exposures to HAP, it is unclear if cooking with cleaner fuels also affects the choice of meals and dietary intake.
Design: Individually randomised, open-label controlled trial of a HAP intervention. We aimed to determine the effect of a HAP intervention on dietary and Na intake. Intervention participants received a liquefied petroleum gas (LPG) stove, continuous fuel delivery and behavioural messaging during 1 year whereas control participants continued with usual cooking practices that involved the use of biomass-burning stoves. Dietary outcomes included energy, energy-adjusted macronutrients and Na intake at baseline, 6 months and 12 months post-randomisation using 24-h dietary recalls and 24-h urine. We used t-tests to estimate differences between arms in the post-randomisation period.
Setting: Rural settings in Puno, Peru.
Participants: One hundred women aged 25-64 years.Results: At baseline, control and intervention participants were similar in age (47.4 v. 49.5 years) and had similar daily energy (8894.3 kJ v. 8295.5 kJ), carbohydrate (370.8 g v. 373.3 g) and Na intake (4.9 g v. 4.8 g). One year after randomisation, we did not find differences in average energy intake (9292.4 kJ v. 8788.3 kJ; P= 0.22) or Na intake (4.5 g v. 4.6 g; P = 0.79) between control and intervention participants.
Conclusions: Our HAP intervention consisting of an LPG stove, continuous fuel distribution and behavioural messaging did not affect dietary and Na intake in rural Peru.
Effects of a household air pollution intervention using liquefied petroleum gas stoves, continuous fuel distribution and behavioural messaging on dietary and sodium intake of adult women in Puno, Peru: a randomised controlled trial
Creators
Carla Tarazona-Meza - Johns Hopkins University
Kendra N. Williams - Johns Hopkins University
Gary Malpartida - Prisma
Josiah L. Kephart - Johns Hopkins University
Magdalena Fandino-Del-Rio - Johns Hopkins University
Suzanne Simkovich - Johns Hopkins University
Shakir Hossen - Johns Hopkins University
Marilu Chiang - Prisma
Kirsten Koehler - Johns Hopkins University
William Checkley - Johns Hopkins University
Publication Details
Public health nutrition, v 26(8), pp 1686-1695
Publisher
Cambridge Univ Press
Number of pages
10
Grant note
National Institute of Environmental Health Sciences; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Environmental Health Sciences (NIEHS)
United States National Institutes of Health Research Training Grant - United States National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
United States National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
Fogarty International Center; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Fogarty International Center (FIC)
Center for Global Health at Johns Hopkins University
National Cancer Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI)
U01TW010107; U2RTW010114 / National Institute of Environmental Health Sciences of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Environmental Health Sciences (NIEHS)
Clean Cooking Alliance of the United Nations Foundation
Cardiopulmonary outcomes and Household Air Pollution
D43TW009340 / David Leslie Swift Fund of the Bloomberg School of Public Health, Johns Hopkins University
Fogarty International Center Training Grant; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Fogarty International Center (FIC)
UNF-16-810 / National Heart, Lung, And Blood Institute of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
Centers for Disease Control; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA
Johns Hopkins University
D43TW011502 / Lietman Fellowship award of Centre for Global Health at Johns Hopkins University
Resource Type
Journal article
Language
English
Academic Unit
Drexel FIRST (Center for Firefighter Injury Research and Safety Trends); Urban Health Collaborative; Environmental and Occupational Health
Web of Science ID
WOS:000973574000001
Scopus ID
2-s2.0-85149043916
Other Identifier
991021862291404721
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